Manager, Revenue Cycle

CVS Health•Work At Home-Illinois, IL

About The Position

Oversees the day-to-day management and provide leadership to critical aspects of billing operations. Develop a team to manage timely billing of claims and payment posting. Create process documentation to ensure efficient, accurate and compliant billing workflows. Working with other business leadership to provide consistent billing guidance and improve clean claim rate.

Requirements

Minimum of 5-7 years of professional experience in healthcare management leading a team of individual contributors.
Experience in oversight of projects and processes that require complex resolution within both short and long term timelines.
Experience working with legal and compliance partners in support of maintaining proper billing and coding guidelines.
Baseline discipline experience as a business analyst, report writer, project manager or similar role.

Nice To Haves

Epic EHR certification in one or more modules
AAPC certification
Proficiency in Microsoft Office tools (Word, Excel, PowerPoint)
Adept skills to identify, assess, communicate, create and deliver workflows to resolve complex problems that facilitate a resolution/improvement while meeting established timelines
Excellent written and oral communication skills including development and maintenance of Standard Operating Procedures (SOP)
Ability to analyze and interpret various status and outcome reports to provide actionable insights to senior leadership

Responsibilities

Oversees the day-to-day management and provide leadership to critical aspects of billing operations.
Develop a team to manage timely billing of claims and payment posting.
Create process documentation to ensure efficient, accurate and compliant billing workflows.
Working with other business leadership to provide consistent billing guidance and improve clean claim rate.
Monitor KPIs and report on variances, risks and improvement process opportunities.